在肺癌中生存挑战和支持性护理
Duc M Ha1,2, Regina A Jacob3,4, Brett C Bade3,4
1Section of Pulmonary and Critical Care, Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, Colorado.
Seminars in respiratory and critical care medicine
|July 7, 2025
概括
肺癌幸存者面临着严重的症状负担,影响生活质量. 本综述综合了运动和治疗等干预措施,以改善这些人与健康相关的生活质量 (HRQL).
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 生活质量研究 研究 生命质量研究
背景情况:
- 由于查,早期检测和治疗方式的改进,肺癌幸存者的数量正在增长.
- 许多肺癌幸存者经历了持续的症状负担和功能挑战,对他们的健康相关生活质量 (HRQL) 产生了负面影响.
- 应对这些挑战对于生活在肺癌诊断后或之后的个体的福祉至关重要.
研究的目的:
- 审查和综合旨在改善肺癌幸存者的健康相关生活质量 (HRQL) 的干预措施.
- 纳入癌症生命周期框架,检查从诊断到生存的不同阶段的干预措施.
- 确定基于证据的策略,以解决幸存者报告的关键HRQL挑战,包括呼吸障碍,疲劳和心理困扰.
主要方法:
- 进行了叙事审查,结合了癌症生命周期模型.
- 美国胸部医生学院关于HRQL,症状管理和肺癌的支持性护理的临床指南.
- 在过去十年中发表的19项随机对照试验 (RCT) 或试点RCT的干预措施被识别和分析,涉及2,506名参与者.
主要成果:
- 肺癌幸存者的关键HRQL挑战包括呼吸障碍,疲劳,睡眠困难,恐惧/压力,焦虑,抑郁症状和身体/角色功能受损.
- 审查的干预措施包括体育炼和康复,认知行为和心理疗法,心身疗法,基于正念的干预措施和补充疗法.
- 这些干预措施已经证明有潜力解决肺癌幸存者的显著HRQL问题.
结论:
- 一系列干预措施,包括运动,心理治疗和补充方法,可以显著提高肺癌幸存者的健康相关生活质量 (HRQL).
- 这些发现对制定全面的幸存者护理计划具有重要意义,这些计划是根据这个不断增长的人口不断变化的需求量身定制的.
- 进一步的研究和基于证据的战略的实施对于改善肺癌患者的长期结果和福祉至关重要.
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